Diabetes Diagnosis: Small Changes Make the Difference

Gritman Clinical Nutrition and Diabetes Offers Classes, Individualized Treatment as Part of Care Plans

The biggest message Nancy Kure tries to get across to patients who have been recently diagnosed with diabetes is they don’t have to change their routines all at once.

Small changes, or incremental improvements, can be just as important to ensuring new habits become old habits, improving life with diabetes along the way.

Nancy kure

Nancy Kure

“They don’t need food police, they need to make changes that they can make,” she said. “That’s our approach to it. What are you going to set for your one small tackle-able routine change. It’s important to meet patients where they are at.”

Kure, director of Gritman Clinical Nutrition and Diabetes, works by the mantra that making small changes can last a lifetime. And after someone has gone through the initial shock of a diabetes diagnosis, she said many are relieved to know they don’t have to change their entire life all at once.

Diabetes is a chronic health condition that affects how our body turns food into energy. Living with diabetes means changes to eating habits, monitoring blood sugar and finding ways to stay active in order to prevent future health problems.

There’s one very specific reason a long-term track is taken with patients. “Because those changes are sustainable,” Kure said. “If you make radical changes, you may be able to do it for a week or two or for a month, but are you going to make it for a long time?”


Find Diabetes Awareness Month Resources from the American Diabetes Association

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In addition to health care consultations, Gritman Clinical Nutrition and Diabetes holds several classes and programs—all recognized by the American Diabetes Association—to help patients with the transition to life with diabetes.

Small steps make a big difference. November is Diabetes Awareness Month and the National Institute of Diabetes and Digestive and Kidney Diseases has many resources centered around pre-diabetes and reducing the risk of diabetes.
One group class, Living Well With Diabetes, has new sessions every month to serve all patients interested in managing their diabetes. The four 2.5-hour classes are covered by most insurance plans, including Medicare and Medicaid.


Living Well With Diabetes is one of many classes offered for people diagnosed with diabetes and pre-diabetes throughout the year, including during Diabetes Awareness Month in November.

Kure hopes to also eventually bring back a diabetes support group that has been on hiatus since 2020. Clinical Nutrition and Diabetes will make an announcement when new group meetings are scheduled.

With a combination of support group settings and individualized care-both in person and via telehealth-resources are tailored to what patients may need for each and every circumstance.

Interested in learning more or attending a class? Call the Clinical Nutrition and Diabetes office at 208-883-6341.